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4310 James Casey St Ste1-c Austin TX 78745-1251 | |
| (512) 443-2228 | |
| (512) 443-2227 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 4310 James Casey St, Austin, Texas |
| Authorized Official Name and Position | Paul King Blissard (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5124432228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4310 James Casey St Ste 1-c Austin TX 78745-1251 Ph: (512) 443-2228 | 4310 James Casey St Ste1-c Austin TX 78745-1251 Ph: (512) 443-2228 |
| NPI Number | 1558585828 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558585828 | NPI | - | NPPES |
| 084120701 | Other | TX | TPI NUMBER |
| 86W800 | Other | TX | BLUE CROSS RENDERING NO. |
| 137945507 | Medicaid | TX | |
| 137945510 | Other | TX | EPSDT RENDERING NO. |
| 00N25X | Other | TX | BLUE CROSS NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F6453 (Texas) | Primary |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |